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* 1. What grade are you in?

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* 3. Are you a boy or a girl?

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* 4. My favorite subject is:

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* 5. My hardest subject is:

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* 6. How often do you read for fun?

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* 7. Do you have books at home?

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* 8. At Blossom Gulch I can talk to an adult when I have problems:

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* 9. I get along well with other children at Blossom Gulch:

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* 10. Have you ever been teased or picked on at school?

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* 11. Are there any places at school where you feel unsafe?

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* 12. How many LAPS cards have you filled up this year?

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* 13. I like school.

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* 14. Can you or someone at your house use the internet?

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* 15. Do you have a quiet place to do your homework?

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* 16. Have you used SuccessMaker at home?

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* 17. What do you like most about your school?

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* 18. Do you have any ideas to make our school or your class a better place to learn?

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* 19. Is there anything else you would like to tell us?

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